NPI | 1831360411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN 13309) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000013309) |
Enumeration Date | 2008-03-21 |
Last Update Date | 2015-08-05 |